CLASS 6512 I-HUMAN CASE WEEK #7 56 Y/O FEMALE HEIGHT: 5’5”
(165 CM)WEIGHT: 188.0 LB (85.5 KG)REASON FOR ENCOUNTER:
BLOOD PRESSURE RECHECK LOCATION: OUTPATIENT CLINIC
WITH LABORATORY CAPABILITIES latest 2025/2026
Patient Details:
• Age: 56 years
• Height: 5’5” (165 cm)
• Weight: 188.0 lb (85.5 kg)
• Reason for Encounter: Blood pressure concerns
Focused History:
1. Blood Pressure History:
o Has her blood pressure been checked regularly?
o What was her last recorded blood pressure?
o Has she been diagnosed with hypertension before?
, o Any history of high or fluctuating blood pressure?
o Current Symptoms:
▪ Headaches? Dizziness? Blurred vision? Shortness of breath?
Chest pain?
▪ Any palpitations or irregular heartbeats?
▪ Any swelling in legs or ankles?
2. Lifestyle and Risk Factors:
o Diet: High sodium intake, processed foods, alcohol consumption?
o Physical Activity: Sedentary lifestyle or regular exercise?
o Smoking: Any history of smoking?
o Stress: Job-related or emotional stress?
o Sleep: Any issues with sleep (e.g., sleep apnea, insomnia)?
3. Past Medical History:
o Known chronic conditions: Diabetes, hyperlipidemia, thyroid
disorders, kidney disease?
o Any cardiovascular diseases (e.g., coronary artery disease, prior
stroke, or heart attack)?
o Any family history of hypertension or cardiovascular disease?
4. Medications:
o What current medications is she taking?
o Any recent changes in her medication regimen?
o Is she on antihypertensive medications or any other drugs that could
affect BP (e.g., steroids, NSAIDs)?
5. Symptoms of Target Organ Damage:
o Any history of kidney issues?
, o Any visual disturbances (e.g., blurred vision or seeing spots)?
o Chest pain, shortness of breath, or fatigue?
Focused History:
1. Blood Pressure History:
o When was the last time her blood pressure was checked? Was it
done at home or in a clinic?
o Has she been diagnosed with high blood pressure (hypertension)?
If so, for how long?
o What was her most recent blood pressure reading?
▪ Is it consistently high, or has it been fluctuating?
o Any history of sudden increases or spikes in blood pressure?
o Any episodes of dizziness, lightheadedness, or headaches
associated with high blood pressure?
o Has she experienced chest pain, shortness of breath, or
palpitations? These could indicate a more serious cardiovascular
concern.
2. Current Symptoms:
o Headaches: Any frequent or severe headaches?
o Vision Issues: Any blurry vision, floaters, or changes in sight?
o Dizziness: Is she feeling lightheaded or fainting, particularly when
standing up?
o Shortness of Breath: Any difficulty breathing or fatigue, especially
with physical exertion?
o Swelling in Legs or Ankles: Edema could be a sign of fluid retention,
often related to heart or kidney problems.
3. Lifestyle Factors:
(165 CM)WEIGHT: 188.0 LB (85.5 KG)REASON FOR ENCOUNTER:
BLOOD PRESSURE RECHECK LOCATION: OUTPATIENT CLINIC
WITH LABORATORY CAPABILITIES latest 2025/2026
Patient Details:
• Age: 56 years
• Height: 5’5” (165 cm)
• Weight: 188.0 lb (85.5 kg)
• Reason for Encounter: Blood pressure concerns
Focused History:
1. Blood Pressure History:
o Has her blood pressure been checked regularly?
o What was her last recorded blood pressure?
o Has she been diagnosed with hypertension before?
, o Any history of high or fluctuating blood pressure?
o Current Symptoms:
▪ Headaches? Dizziness? Blurred vision? Shortness of breath?
Chest pain?
▪ Any palpitations or irregular heartbeats?
▪ Any swelling in legs or ankles?
2. Lifestyle and Risk Factors:
o Diet: High sodium intake, processed foods, alcohol consumption?
o Physical Activity: Sedentary lifestyle or regular exercise?
o Smoking: Any history of smoking?
o Stress: Job-related or emotional stress?
o Sleep: Any issues with sleep (e.g., sleep apnea, insomnia)?
3. Past Medical History:
o Known chronic conditions: Diabetes, hyperlipidemia, thyroid
disorders, kidney disease?
o Any cardiovascular diseases (e.g., coronary artery disease, prior
stroke, or heart attack)?
o Any family history of hypertension or cardiovascular disease?
4. Medications:
o What current medications is she taking?
o Any recent changes in her medication regimen?
o Is she on antihypertensive medications or any other drugs that could
affect BP (e.g., steroids, NSAIDs)?
5. Symptoms of Target Organ Damage:
o Any history of kidney issues?
, o Any visual disturbances (e.g., blurred vision or seeing spots)?
o Chest pain, shortness of breath, or fatigue?
Focused History:
1. Blood Pressure History:
o When was the last time her blood pressure was checked? Was it
done at home or in a clinic?
o Has she been diagnosed with high blood pressure (hypertension)?
If so, for how long?
o What was her most recent blood pressure reading?
▪ Is it consistently high, or has it been fluctuating?
o Any history of sudden increases or spikes in blood pressure?
o Any episodes of dizziness, lightheadedness, or headaches
associated with high blood pressure?
o Has she experienced chest pain, shortness of breath, or
palpitations? These could indicate a more serious cardiovascular
concern.
2. Current Symptoms:
o Headaches: Any frequent or severe headaches?
o Vision Issues: Any blurry vision, floaters, or changes in sight?
o Dizziness: Is she feeling lightheaded or fainting, particularly when
standing up?
o Shortness of Breath: Any difficulty breathing or fatigue, especially
with physical exertion?
o Swelling in Legs or Ankles: Edema could be a sign of fluid retention,
often related to heart or kidney problems.
3. Lifestyle Factors:
